- Prime Therapeutics (Lansing, MI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using… more
- Norstella (Lansing, MI)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- PRGX (Grand Rapids, MI)
- …analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate audit concepts for ... writing claims , updating claims management system, and billing claims to...with experience in retail or grocery procurement, and A/P processing . WORKING CONDITIONS The physical demands described here are… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Humana (Lansing, MI)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience… more